Report of RI Income Proof
(Only for Applicants having no BPL Number)
The Annual family income of Sri/Smt/Miss________________________________________
S/o, W/o, D/o_________________________________ of Village______________________________
GP______________________________ Block ____________________________ is Rs____________
in Words________________________________________________________________ Only.
N.B. This RI Report is only applicable for awarding pension under NSAP and MBPY.
Signature / LTI of Applicant Signature of Revenue Inspector
With seal